P06-14 Development of a standardised evaluation framework (SEF) for physical activity interventions: Ensuring usability and usefulness

Abstract Introduction With a range of interventions available for promoting physical activity (PA) and only limited resources, it has become imperative to identify those that are both effective and feasible for real world application. A number of evaluation frameworks have been developed but often fail to be widely implemented due to the level of information required and time needed to complete. The purpose of this study is to develop a standardised evaluation framework (SEF) for PA interventions that is usable in practice but also collects information that enables evidence based decision making among key knowledge users. Methods Development of the framework was guided by Nutbeam and Bauman's evaluation cycle, encompassing elements of formative, process, impact and outcome evaluation. The SEF was developed through four stages involving a 1) review of the literature, 2) feedback from key stakeholders, 3) national consultation, and 4) focus groups with a practitioner advisory group. Elements of the Technology Acceptance Model were used to assess the perceived usefulness and usability of the SEF by key stakeholders.†† Results Twelve relevant evaluation frameworks specific to PA interventions were identified through the literature review. Members of the project team (N = 3) identified commonalities across these frameworks, including general characteristics (N = 12), formative evaluation aspects (N = 5), process evaluation aspects (N = 15), impact evaluation aspects (N = 7) and outcome evaluation aspects (N = 3). Feedback across four stages, including consultations, two focus groups and an online survey provided feedback for creating a more usable and useful SEF. The current framework includes a minimum set of questions (i.e. monitoring template) for coordinators (N = 27) and participants (N = 9) with additional measures available for an in-depth evaluation where necessary. Conclusion I-PARC has seen the creation of a SEF that is moving towards a more usable approach for intervention evaluation in practice. The I-PARC SEF has the potential to be a usable resource to assess current PA interventions and provide knowledge regarding the potential scale up, adaptions or cessation of current practices. Feedback has also suggested a need for an online platform to collect the relevant information, capacity building resources and a support network to help with the use of the I-PARC SEF.


Background
Health systems play a fundamental and recognized role in promoting physical activity, particularly in the context of primary health care. eHealth is a broad concept that incorporates any area that combines healthcare and technology. This concept is often associated with improvements in process efficiency and cost reduction. Still, high occurrence of physical inactivity demonstrate the importance of developing new eHealth approaches for a more effective actuation. The aim of this work was to develop a new methodology to increase physical activity level, at primary health care. Methods A mobile application with web platform was developed to: physical activity prescription and monitoring; registration of biomedical variables, sending messages to users, managing physical activity events at the initiative of users (social network). The application was explained to the medical doctors and data from a case-study was accessed (56 yearsold male, Caucasian, single, nuclear family, upper middle class). History of physical inactivity, obesity, hypertension, dyslipidemia and depressive disorder (sertraline 50mg and mexazolam 1mg therapy), body composition, physical and CRP fitness were assessed. International physical activity and Self-perceived quality of life assessment questionnaires were also used.

Results
It was possible to understand that just by talking was not enough to engage the patient on a more active lifestyle. After several failed attempts on counseling for lifestyle changing, patient was referred for using the developed app. Physical exercise tailored plan was prescribed using the Movida.cronos. This tool opened the possibility of assessing patient performance and adherence to the prescribed program (>90%). It allowed a narrow informative channel between the patient and the medical doctor. In three months, the patient reduced form obesity to overweight (-3.4%), decrease his waist circumference (-6.3%), fat mass (-1.8%) and arterial mean pressure (-5.1%); with an associated increase on step test performance.

Conclusions
This case study demonstrate the potential use of eHealth technology, particularly in primary care. Movida.Cronos allowed the prescription and monitoring of performance and adherence levels to the prescribed exercise program. It brings novel perspectives on prescription and remote monitoring of

Introduction
With a range of interventions available for promoting physical activity (PA) and only limited resources, it has become imperative to identify those that are both effective and feasible for real world application. A number of evaluation frameworks have been developed but often fail to be widely implemented due to the level of information required and time needed to complete. The purpose of this study is to develop a standardised evaluation framework (SEF) for PA interventions that is usable in practice but also collects information that enables evidence based decision making among key knowledge users. Methods Development of the framework was guided by Nutbeam and Bauman's evaluation cycle, encompassing elements of formative, process, impact and outcome evaluation. The SEF was developed through four stages involving a 1) review of the literature, 2) feedback from key stakeholders, 3) national consultation, and 4) focus groups with a practitioner advisory group. Elements of the Technology Acceptance Model were used to assess the perceived usefulness and usability of the SEF by key stakeholders.yy Results Twelve relevant evaluation frameworks specific to PA interventions were identified through the literature review. Members of the project team (N = 3) identified commonalities across these frameworks, including general characteristics (N = 12), formative evaluation aspects (N = 5), process evaluation aspects (N = 15), impact evaluation aspects (N = 7) and outcome evaluation aspects (N = 3). Feedback across four stages, including consultations, two focus groups and an online survey provided feedback for creating a more usable and useful SEF. The current framework includes a minimum set of questions (i.e. monitoring template) for coordinators (N = 27) and participants (N = 9) with additional measures available for an in-depth evaluation where necessary. Conclusion I-PARC has seen the creation of a SEF that is moving towards a more usable approach for intervention evaluation in practice. The I-PARC SEF has the potential to be a usable resource to assess current PA interventions and provide knowledge regarding the potential scale up, adaptions or cessation of current practices. Feedback has also suggested a need for an online platform to collect the relevant information, capacity building resources and a support network to help with the use of the I-PARC SEF.

Background
Understanding the common facilitators and challenges experienced by those implementing physical activity (PA) interventions in Ireland is crucial for both promoting good practices and solutions to overcome such challenges in the future. The purpose of this study was to interview relevant stakeholders to identify factors associated with implementing PA interventions in Ireland. Methods Semi-structured interviews were conducted with service providers, coordinators, funders, researchers and policy makers involved with selected PA interventions (N = 11) in Ireland. The Consolidated Framework for Implementation Research (CFIR) was used to guide the generation of an interview script including key questions and prompts. Prompts were identified through a short survey that was completed by participants before the interview. Interviews lasted mately one-hour and were conducted by the same either in person or over the phone, and recorded using Dictaphone. All interviews were transcribed and cleaned before being analysed using NVIVO. Open coding, using the CFIR domains as a guide, was used to generate and agree on a code book to analyse all interviews. Once open coding was complete, thematic analysis was used to identify themes in the data related to implementation facilitators and challenges.

Results
Thirty-eight purposely sampled participants took part in the semi-structured interviews (26.3% service providers, 31.6% coordinators, 10.5% funders, 15.8% researchers, 15.8% policy makers). Some themes related to 1) intervention characteristics included usability, costs, fidelity and practical considerations, 2) characteristics of individuals included constraints, knowledge and attitudes, 3) inner setting included support, staffing, understanding or awareness, 4) outer setting included role responsibility, context changes, partnerships, 5) processes of implementation included advertisement, deliver and scale-up. Relationships were also noted between themes. For example, themes identified for funding and stakeholder engagement were found to influence multiple domains of the CFIR framework. Conclusion Findings from these interviews help to understand the complexity of implementing PA interventions in the Irish context. Furthermore, the findings can be used to aid implementation through the facilitators identified and provide solutions to common challenges experienced by those involved in implementing PA interventions. Future work will see the

Physical activity
Abstract citation ID: ckac095.101 P07-01 Prescription of adapted physical activity: knowledge and needs among general practitioners Ile-de-France Alexis Astruc 1,2 , Jean-Christophe Blanchard 2 1 Department of General Practice -University Paris 13, Bobigny, France 2 Ellasanté Health Center, Paris, France Corresponding author: alexis.astruc@yahoo.fr Background Physical inactivity is the fourth leading cause of death in world. In France, the concept of medical prescription physical activity (PA) adapted now appears in a law specifies the central role of the family physician December 2016. The needs of the general practitioners about prescription of PA has not been studied. Aim To assess the knowledge and needs of GPs regarding medical prescription of PA. Methods This is a transversal observational epidemiological study of GPs working in the departments of Hauts-de-Seine (92) and Val-de-Marne (94) near Paris. A questionnaire was sent by mail or email. A descriptive statistical analysis was conducted to describe the main variables of interest. Then, a multivariate statistical analysis by logistic regression was conducted to look for independent factors of the feeling of competence in the prescription of adapted PA. Results 158 physicians were included. 72.2% of GPs rated their knowledge in PA as average to very poor. The initial training in PA is estimated as unsatisfactory by 84.2% of GPs. 81.6% haven't done a postgraduate additional training in PA. A specific skill in sports medicine, the individual practice of PA as well as the speaking about PA in more than 50% of P07-02 Prescription of adapted physical activity: expectations of patients consulting general practitioners in the department of Yvelines